# CLINTON FIBROID & VASCULAR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457873325
- **Authorized official:** DR. NORDINE GAUGAU MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (240) 244-2302

## Contact information

- **Practice address:** 9131 PISCATAWAY RD STE 240, CLINTON, MD 20735-2578
- **Practice address phone:** (240) 244-2302
- **Practice address fax:** (410) 975-4645
- **Mailing address:** 9131 PISCATAWAY RD STE 240, CLINTON, MD 20735-2578
- **Mailing address phone:** (240) 244-2302
- **Mailing address fax:** (410) 975-4645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | D0063972 | MD | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 07/21/2022